Provider Demographics
NPI:1508187998
Name:LOCK, JOSHUA ONZE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ONZE
Last Name:LOCK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BLACK RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-7413
Mailing Address - Country:US
Mailing Address - Phone:516-428-4018
Mailing Address - Fax:
Practice Address - Street 1:788 INLET SQUARE DR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7841
Practice Address - Country:US
Practice Address - Phone:843-651-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-19
Last Update Date:2010-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist